| NPI | 1356981922 |
|---|---|
| Doing Business As | HOMETOWN PHARMACY #51 GRAND RAPIDS |
| Entity Type | Organization |
| Authorized Contact | REBEKAH LYN DESARMO Executive Operations Administrator 231-652-7810 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2023-03-07 |